| NPI | 1215538806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA FARRAKHAN CEO 312-509-0809 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 106S00000X Behavior Technician | |
| 133N00000X Nutritionist | |
| Enumeration Date | 2020-11-02 |
| Last Update Date | 2024-03-07 |